Key result
Review outlines CIED management during dental procedures including effects of common drugs and instruments.
Why the study?
The increasing prevalence of cardiovascular implantable electronic devices requires dental providers to understand device management and interactions with dental equipment and medications.
This review provides guidance for dental providers on managing patients with pacemakers and ICDs, highlighting potential interactions with dental instruments and medications.
May inform dental management of CIED patients; leaves open need for prospective validation of interaction risks.
The prevalence of cardiovascular implantable electronic devices as life-prolonging and life-saving devices has evolved from a treatment of last resort to a first-line therapy for an increasing number of patients. As these devices become more and more popular in the general population, dental providers utilizing instruments and medications should be aware of dental equipment and medications that may affect these devices and understand the management of patients with these devices. This review article will discuss the various types and indications for pacemakers and implantable cardioverter-defibrillators, common drugs and instruments affecting these devices, and management of patients with these devices implanted for cardiac dysrhythmias.
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James Tom (2016) conducted a review in Patients with cardiovascular implantable electronic devices requiring dental, oral, and maxillofacial surgery. Dental equipment and medications was evaluated. This review outlines the management of patients with cardiovascular implantable electronic devices during dental procedures, including the effects of common drugs and instruments on these devices.
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